# SOUTH COUNTY ENDOCRINOLOGY P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659337517
- **Authorized official:** MIRTHA KELIJMAN MD (PRESIDENT)
- **Authorized official phone:** (561) 367-8202

## Contact information

- **Practice address:** 670 GLADES RD, SUITE 310, BOCA RATON, FL 33431-6461
- **Practice address phone:** (561) 367-8202
- **Practice address fax:** (561) 367-8257
- **Mailing address:** 670 GLADES RD, SUITE 310, BOCA RATON, FL 33431-6461
- **Mailing address phone:** (561) 367-8202
- **Mailing address fax:** (561) 367-8257

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | ME 67985 | FL | Yes |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 05/20/2008
